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Observational study of adherence to a traditional Mediterranean diet,sociocultural characteristics and cardiovascular disease risk factors of older Greek Australians from MEDiterranean ISlands (MEDIS‐Australia Study): Protocol and rationale
Authors:Antonia Thodis  Catherine Itsiopoulos  Antigone Kouris‐Blazos  Laima Brazionis  Stefanos Tyrovolas  Evangelos Polychronopoulos  Demosthenes B. Panagiotakos
Affiliation:1. Discipline of Dietetics and Human Nutrition, Department of Rehabilitation, Nutrition and Sport, School of Allied Health, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia;2. Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia;3. Department of Nutrition and Dietetics, Harokopio University, Athens, Greece;4. Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain
Abstract:

Aim

To describe the study protocol of the MEDiterranean ISlands‐Australia (MEDIS‐Australia) Study modelled on the MEDIS Study conducted in Greece. The present study aims to explore adherence to the traditional Mediterranean diet pattern, determine enablers and barriers to adherence, explore the definition of Greek cuisine, and associations between adherence to the diet pattern and risk factors for cardiovascular disease (CVD) and metabolic syndrome in older Greek Australians originally from Greek islands and Cyprus. Now long‐term immigrants, with at least 50 years in Australia, characteristics and risk factor profiles of older Greek islander‐born Australians will be compared and contrasted to their counterparts living on Greek islands to evaluate the influence of migration on adherence.

Methods

The present study is an observational study of cross‐sectional design using a modified lifestyle and semi‐quantitative food frequency questionnaire to capture sociodemographic, health, psychosocial and dietary characteristics, including cuisine, of 150 older Greek islander‐born Australians. Anthropometric measures and medical history will be collected. Participants will be aged over 65 years, live independently, are originally from a Greek island and are free from CVD.

Results

Data collection is underway.

Conclusions

Characteristics and behaviours associated with adherence, if identified, could be evaluated in future studies. For example, exploration of enablers or barriers to adherence to a Mediterranean dietary pattern in an Australian population.
Keywords:Mediterranean dietary pattern  MEDIS  MedDietScore  Greek Australian immigrants  dietary adherence  food frequency questionnaire  traditional cuisine  CVD risk factors  metabolic syndrome
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